Supervisor, RCM

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Supervisor, Revenue Cycle Management (RCM)

This position is responsible for overseeing the day-to-day activities of the revenue cycle process of their team and to ensure a smooth operational flow of the department activities working in conjunction with a multitude of external sources.

Job Duties:

• Responsible for holding self and team members accountable for meeting performance expectations.
• Assist in setting and maintaining department standards.
• Assist with responsibilities of one on one and general staff meetings.
• Assist in training and remediation as needed.
• Supports leadership in oversight of designated Revenue Cycle Management domestic and offshore staff as needed to ensure all RCM functions are worked within the established timeframes.
• Ensures?valid insurance information provided to our patients is accurate and complete.
• Works with staff to resolve discrepancies and improve accuracy.
• Maintains a strong working knowledge of both upstream and downstream processes.?
• Improves processes within department emphasizing quality and efficiency, while identifying and removing bottlenecks.???
• Prepares reports as needed for various departments and leadership.
• Anticipates and resolves problems demonstrating good judgment.??
• Report audit metrics for employees to monitor accuracy and productivity rates.?
• Take escalated phone calls that cannot be effectively resolved by team members.
• Identify trends and root causes related to inaccurate insurance billing, and report to manager while resolving account errors.
• Conduct team meetings to educate on insurance guidelines, claim denials, and re-training efforts as needed.
• Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account.
• Keeps abreast of all reimbursement billing procedures of third party,?private insurance,?and government regulations to ensure compliance with current processes.
• Develop and maintain working knowledge of current HME products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback.
• Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards.
• Establishes annual goals and objectives for the department based on the organization’s strategic goals.
• Perform other related duties as assigned.

Competency, Skills and Abilities: ?

• Strong ability to co-manage in a multi-site environment.
• Independent Thinker and Decision Maker.
• Strong analytical and problem-solving skills with attention to detail.
• Excellent verbal and written communication.
• Excellent customer service skills.
• Proficient computer skills and knowledge of Microsoft Office specifically Excel.
• Ability to prioritize and manage multiple projects.
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.

Minimum Job Qualifications:

• High School diploma required, Associate degree from an accredited college preferred.
• Two (2) years relevant experience in health care administrative, financial, insurance customer services, claims, billing, home health and/or medical terminology training is required.
• Exact job experience is considered as management of any of the above tasks in a Medicare certified HME or health care environment that routinely bills insurance.?

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.